| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $61 | $84 | $101 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $150 | $194 | $220 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $98 | $117 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $159 | $172 | $179 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $93 | $110 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $74 | $96 | $116 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $84 | $99 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $42 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $92 | $117 | $141 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $78 | $186 | $292 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $96 | $156 | $215 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $192 | $303 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $469 | $578 | $688 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $118 | $154 | $191 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $89 | $130 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $21 | $88 | $155 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $47 | $56 | $66 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $117 | $155 | $193 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $79 | $155 | $232 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $92 | $93 | $93 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $148 | $157 | $166 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $9 | $27 | $44 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $67 | $83 | $99 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $20 | $123 | $204 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $44 | $219 | $343 |
| Office visit established patient minimal CPT 99211 • Office Visits | $4 | $20 | $37 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $5 | $21 | $38 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $54 | $68 | $82 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $44 | $81 | $105 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $15 | $123 | $231 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $12 | $87 | $162 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $149 | $184 | $219 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $217 | $269 | $321 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $34 | $56 | $78 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $63 | $71 | $78 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $95 | $130 | $165 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $63 | $72 | $81 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $42 | $67 | $93 |
| Consultation office low complexity CPT 99243 • Office Visits | $122 | $159 | $196 |
| Consultation office high complexity CPT 99245 • Office Visits | $143 | $225 | $306 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $498 | $500 | $502 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $36 | $49 | $62 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,000 | $1,440 | $1,880 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $46 | $296 | $513 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $668 | $1,204 | $1,739 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $550 | $585 | $621 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $278 | $425 | $624 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $44 | $497 | $949 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $662 | $673 | $685 |